Active NPI
Kimberly Kaye Borrell, NCTMB
- Massage Therapist
- Eden Prairie, MN
National Provider Identifier
1932401163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 596542-10
- Practice address
- 6600 Countryside Dr
Eden Prairie, MN 55346-2210 - Phone
- (952) 949-0440
- NPI assigned
- Nov 19, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 596542-10 | MN | Primary |
Addresses
Primary practice location
6600 Countryside Dr
Eden Prairie, MN 55346-2210
Mailing address
6600 Countryside Dr
Eden Prairie, MN 55346-2210
Phone (952) 949-0440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 596542-10 | MN | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290124800000",
"number": "1932401163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 COUNTRYSIDE DR",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553462210",
"telephone_number": "952-949-0440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 COUNTRYSIDE DR",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553462210",
"telephone_number": "952-949-0440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORRELL",
"first_name": "KIMBERLY",
"middle_name": "KAYE",
"credential": "NCTMB",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-19",
"last_updated": "2010-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MN",
"license": "596542-10",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.